A 55-year-old client visits the clinic for a routine checkup. Which recommendation is most appropriate regarding colorectal cancer screening for this client?
Recommend colorectal cancer screening if the client reports specific symptoms such as rectal bleeding or abdominal pain.
Begin scheduling routine colonoscopies every 10 years, starting at age 45.
Screen individuals with a family history of colorectal cancer starting at age 55.
Advise routine fecal occult blood tests (FOBT) annually as an alternative to colonoscopy starting at age 50.
The U.S. Preventive Services Task Force (USPSTF) recommends that adults begin regular colorectal cancer screening starting at age 45 and continue through age 75. Colonoscopy is a comprehensive screening option because it allows direct visualization of the colon and immediate removal of polyps or other abnormalities. While stool-based tests (e.g., fecal occult blood tests) are valid alternatives, they require more frequent testing. Screening only in the presence of symptoms or for individuals with a family history would delay detection for many at-risk individuals. Screening is intended to detect colorectal cancer before symptoms develop, making proactive testing based on age an essential recommendation.
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